Individual provider · Type 1 NPI

Kathleen Ellen Martin Ix, R.N.

Psychiatric/Mental Health Registered Nurse · Lincoln Park, MI

NPI number 1578766580 Active

Practice location

26184 Outer Dr
Lincoln Park, MI 48146-2084

Call (313) 389-7532 Map

Fax (313) 389-2956

Mailing address

31528 Sheridan St
Garden City, MI 48135-3341

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse Primary 163WP0808X4704092451 (MI)

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1578766580

Kathleen Ellen Martin Ix, R.N.'s National Provider Identifier is 1578766580, issued on Jun 7, 2007. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Lincoln Park, MI. The record was last updated on Jul 8, 2007.